Organization Active NPI

Nicolas Dikio MD Inc

  • Obstetrics & Gynecology Physician
  • Los Alamitos, CA
National Provider Identifier
1356453088
Registry record updated Dec 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A40344 Issued in CA
Legal business name
NICOLAS DIKIO MD INC
Practice address
3791 Katella Ave
Ste 209
Los Alamitos, CA 90720-3105
Phone
(562) 594-0806
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Nicolas Dikio, MD
Title
MD
Phone
(562) 594-0806

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X A40344 CA Primary

Addresses

Primary practice location

3791 Katella Ave
Ste 209
Los Alamitos, CA 90720-3105

Mailing address

3791 Katella Ave
Ste 209
Los Alamitos, CA 90720-3105
Phone (562) 594-0806

Other identifiers 3

IdentifierTypeStateIssuer
00A403442MedicaidCA
00A403441MedicaidCA
00A403440MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230681600000",
    "number": "1356453088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3791 KATELLA AVE",
            "address_2": "STE 209",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203105",
            "telephone_number": "562-594-0806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3791 KATELLA AVE",
            "address_2": "STE 209",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203105",
            "telephone_number": "562-594-0806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLAS DIKIO MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-12-31",
        "status": "A",
        "authorized_official_last_name": "DIKIO",
        "authorized_official_first_name": "NICOLAS",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "562-594-0806",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A40344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A403442",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A403441",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A403440",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamitos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.